The Utility of Quantitative EEG in Detecting Delayed Cerebral Ischemia After Aneurysmal Subarachnoid Hemorrhage.
The Utility of Quantitative EEG in Detecting Delayed Cerebral Ischemia After Aneurysmal Subarachnoid Hemorrhage.
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定量脑电图在动脉瘤性蛛网膜下腔出血后检测延迟脑缺血的实用性。
DOI：
10.1097/wnp.0000000000000754
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发表时间：
2022-03-01
期刊：
影响因子：
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通讯作者：
Kim JA
中科院分区：
文献类型：
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作者：
Baang HY;Chen HY;Herman AL;Gilmore EJ;Hirsch LJ;Sheth KN;Petersen NH;Zafar SF;Rosenthal ES;Westover MB;Kim JA
在这篇综述中，我们讨论了定量脑电图（qEEG）参数检测迟发性脑缺血（DCI）后蛛网膜下腔出血的背景下，复杂的病理生理学的DCI和目前的诊断方法的局限性。由于DCI的多因素病理生理学，仅评估血管狭窄（血管痉挛）的方法不足以检测所有DCI。qEEG促进了EEG作为DCI的诊断模态的探索。多个qEEG参数（如α功率、相对α变异性和α/δ比）显示多项研究中DCI的可靠检测。最近对癫痫样异常的研究表明，它们可能用于检测DCI。qEEG是可在日常实践中实施的DCI的有前途的连续、非侵入性监测模式。未来的工作应该在更大的人群中验证这些参数，并通过自动检测算法和多模式数据集成的发展来促进。
In this review, we discuss the utility of quantitative electroencephalography (qEEG) parameters for detection of delayed cerebral ischemia (DCI) after aneurysmal subarachnoid hemorrhage in the context of the complex pathophysiology of DCI and the limitations of current diagnostic methods. Due to the multifactorial pathophysiology of DCI, methodologies solely assessing blood vessel narrowing (vasospasm), are insufficient to detect all DCI. qEEG has facilitated the exploration of EEG as a diagnostic modality of DCI. Multiple qEEG parameters such as alpha power, relative alpha variability, and alpha/delta ratio show reliable detection of DCI in multiple studies. Recent studies on epileptiform abnormalities suggest their potential for detection of DCI. qEEG is a promising continuous, non-invasive monitoring modality of DCI implementable in daily practice. Future work should validate these parameters in larger populations, facilitated by the development of automated detection algorithms and multimodal data integration.